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Volume 5 Journal of Pediatric Care
ISSN: 2471-805X
JOINT EVENT
Neonatology 2019
Pediatrics Surgery 2019
April 23-24, 2019
April 23-24, 2019 London, UK
&
23rd Edition of International Conference on Neonatology and Perinatology
4th International Conference on Pediatrics and Pediatric Surgery
Bedside retino tele-ophthalmological screening, as an "off-label" transport activity: The Hungarian model
Lajos Lantos1, Erika Maka2, Gabor Kovacs1 and Zsolt Somogyvari1,2
1Neonatal Emergency and Transport Service of the Peter Cerny Foundation, Hungary
2Semmelweis University, Hungary
Background: Neonatal Emergency and Transport Service of the Peter Cerny Foundation (NETS-PCA) was founded
in 1988 with the primary aim to ensure a special neonatal transport facility. Premature Eye Rescue Program (PCA-
PERP) was established in 2008 and it uses wide field digital retinal imaging with remote interpretation (WFDI-TM).
Aim: The aim of our analysis was to demonstrate the feasibility and sustainability of the Program operated by NETS-
PCA.
Methods: Premature eye rescue program (PCA-PERP) is based on bedside, non-invasive retinal examination
performed by qualified neonatal nurse practitioners using a RetCam Shuttle portable WFDI camera. The images are
transferred online and interpreted remotely by an ophthalmologist. To demonstrate the sustainability of the system
the total cost of investment and maintenance were analysed over the first five year period and compared to the most
recent 2018 data.
Results: Our cost-analysis of the first five years demonstrated that 3722 examinations were performed, saved 92,248
km and 3,633 staff working hours. The net present value was 127,847 Euro at the end of 2014 with a payback period
of 4.1 years. In 2018 a total of 1034 screening examinations, 22 on-site laser treatments and post-intervention follow-
up examinations were performed, resulted in savings of 10,215 running km and around 48,000 Euro.
Discussion: Advantages of PCA-PREP it can decrease the need for transport (neonatological benefit), the workload
of ophthalmologists (health system benefit) and it has got documentation benefit (quality-control, patient follow-up,
scientific analysis).
Conclusions: PCA-PREP as bedside ROP screening with telemedicine interpretation, beside clinical benefits, is a
cost effective, feasible and sustainable system.
Biography
Lajos Lantos is a Neonatal Consultant of the Neonatal Emergency and Transport Service of the Peter Cerny Foundation, Budapest.
Lajos Lantos et al., J Pediatr Care 2019, Volume 5
DOI: 10.21767/2471-805X-C1-020